Provider Demographics
NPI:1356762488
Name:PENNY, EMILY (AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:PENNY
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL
Mailing Address - Street 2:CB #7206
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7206
Mailing Address - Country:US
Mailing Address - Phone:919-966-3005
Mailing Address - Fax:966-843-3850
Practice Address - Street 1:UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL
Practice Address - Street 2:CB #7206
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7206
Practice Address - Country:US
Practice Address - Phone:919-966-3005
Practice Address - Fax:966-843-3850
Is Sole Proprietor?:No
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC224277363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health